3849 Heather Dr?
0 '-.
ClT1l OF EAGA11 WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eeigten, MN 55122 DATE:
Zontng: No. of Units:
Owner:
Address:
$ Addre55: i' , ' Y' r ;_ '' t ?, . , r ? ?T' f • '
Plumber:
= i n? ? j?
AAeter No.: Connection Chorge:
Size: Account Deposit:
Reader No.: Pesmit Fee: ?
1 ayrsr to comply with the City ef Eayan Surcharga:
Ordiseeraa. Mlsc. Charyes:
Totol:
Bv Date Paid:
CITY CF EA6AN WATER SERVICE PERMIT
8745 Pilot Knob Road PERMIT NO.: ?
Eagon. MN 55122 OATE: - '.
Zoning: r No. of Units:
-
Owner: ; ? " ' •
Addreas:
Site Address: t'
1 ; %- 1'' i
Plumber. - "
Meter No.: Connection Charge:
5ize: Account Deposit:
Reader No.: Permit Fee: '
1 yroe !o comply with the City ef Eagan Surcharge:
0rdimences. Misc. Charges:
Total:
Bv Dote Paid
:
Dute of Insp.: ?nsp,;
SEWER SERVICE PERMIT
Ilot Knob Road PERMIT NO.:
M'i 55122 DATE:
Na. of Units:
ca comply wieh f6e City of Engen
OF !'AGAN SERVIGE PERMIT
Pltot Knob Rosd PERMIT NO.:
, MN 55 122 DATE:
No, of Units:
to comply wlth tbe City of Eagen
of Insp..
Connection Charge:
Attount Deposit: _
Permit Fee:
Surcharge:
SEWER
!., ^ .
'
Connection Chorpe:
Acaount Deposit;
Permit Fee:
Surcharge:
Misc. Charges:
Totol:
cIrr oF EacaN WATER SERVICE PERMIT
3i95 Pllot Knob Roed PERMIT NO.:
Eagan, MN 55122 DATE: '
Zoninq: No. of Units:
Owner, -
Address:
Site /lddress:
Plumber:
Meter No.: _ Connection Charge: -
Size: A
D
ccount
eposiY:
Reoder No.: Permit Fee:
1 e9700 M comply wit6 t6e City of Eogan Surcharge:
Ordfnonea. Misc. Chorges: ?
Totol:
BY Dote Paid:
CITY 0; EAGAN WATER SERVICE PERMIT
3795 Pllo! Knob Road PERMiT NO.:
Eagae, MN 55122 DATE:
Zoning: No. of Units:
Owner. ? r• ' ':.c! c:rs
/lddress:
Site Address: {`-F? G
Piumber: ,
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Pem,it Fee:
1 agree to comply with eha City of Eegon Surchorge:
Ordinonen. Misc. Charges:
Total:
By Date Paid:
Dote of Insp.: Insp.:
to comply w1lfi fhe Cifp of Eagan
Bv
Dota of Insp.:
CItY OF EAGAN
37! . Pilot Kno6 Rood
Eaedn, MN 55122
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: s ut i. t,,
Connedlon Chcrge: Account Deposit:
Perml! Fee: - '
Surcharge:
Misc. Chorges:
SEWER SERVICE PERMIT
PERMIT NO.: , ' .
DATE: )/. ,
---?- No. of Unirs: •
Site qddress:
Plumber.
:r ? _ • _ - -
I agtis M comply wifh tka Cify oi Eagen
Ordinancai.
BY ---
Data of rnsp.:
Connectfon Charge: ?- ^!• 40 pd
Account Qeposit:
Permit Fee: Surchorpe: •
Misc. ChargeS;
Total:
Dnte Pald:
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
wae erveo
FROM
AMOUNT $ I
4 DOLLARS
?oo
? CASH ? CHECK
FCR v ?
°' 7
White-Payera CoPY
? Yellow-Posting Copy
Pink-File Copy
Thank You
?'?BY
• < ? `
BUILDING PER1?i11T
, •.r
wIT1r oF EI?GAN , r
3795 P!bt Kneb Ran4 Eayan, MN 55122 ry
.. .' d8s4
PHONE: 434-8100
Recelpt # -`
-?)
Site AtWrcu 3$49 lie.athQr Dtilme
Lot -1.%._ Block _..L._ $et/Sub..H]"i n r ls i 1 1 G t1,
Porcel #_ 1 il l G49'A 250 f11
o Name ?'ner
o?
U? /lddress
Name _
Address
I he?eby acknowledge that I have reod this opplication ond state thct
fhe information is correct ond ogree to tomply with oll opplitabla
Stote of Minnesotu Stotutes ond City of Eagan Ordinonces.
Sfynoture of Peimittee
TolZefe?
A Bullding Permif fs issued to:
oll worlc sholl be done in accordonce with all
Building Officiol
Erect [R Occupancy R-3
/11ter ? Zoning (i D) R-3
Repoir ? Fire Zone NA
Enlorpe ? TYpe of Const. V
Move p # Stories
Demolish ? Length_44
Grade ? Depth 2E?Sa. Ft.
Asseument Permit 2? ? nn
Water & Sew. Surcherye 19.., nn
Police Plon check114 - 50
Firo SAC
Er?fl. Wcter Conrw 5 () . ()()
-
Plonner Woter Meter 6()...9E)_
Councll Rood Unit 25-
Bldg. Off.
APC Totol $7647_50
on the express conditlon thai
r Minnesoto Stotutes and City of Eoqan Ordinonces.
Permit No. Permit Holdar Misc. Permit No. Holder
ff 3? ?J
? S
Water
Disp.
5ewer
Electric Wo7 3 ?Q ? w5?f ??G. '+t}''g3
Inspection Dete Insp. Other
Footings
Foundation
Framing 7 All,
Rough Plby.
Rouyh HVAE
Insulation 7
Final Plba •)y,? ?
Final HVAC
Final
Wa"r Describs Location:
VYell •
Sevwr
Pr. Dhp. ?
" cirr oF EA"N
? 3795 9ilet Keob Rooa Eeyon, MN Sl123 •- t? 70 - PHOMt: 4544100
BUILDING PERMIT Raceipf
To w wed for . 1 of 4 PLEX Est. Volue $33 , t)00 Date
_ ?
SiM /1ddr?tu ?f'i5l Naathar nrivP Erect (k Occuponcy 8-3
Lot??.F• BlxkI„ $ec/5ub. Er,-c _?-t ] IAlter 0 Zoning (pnl 2 -3
Parcel # 10 14993 260 01 Repoir ? Fire Zone Na
Enlorfle p Type of Const. t1
W Name To 1 ief snn Rti{ 1 dars ? Tnc . ?ve U # Stories
z Address 1655 .lorwood Drive Der„olish ? Length44_
a irit-F-aaan 55122 a,,,- G54-hk71 Grode ? Depth76-Sq. Ft.
°C Nnme - 4wl1er
0
ou Address
Name _
Address
I hereby acknowledge that I hove reod this applicntion and state that
the inlormeFion Is corred and agree to comply with all opplicoble
Stota of Minnesota Stotutes ond Ciry of Ee9on Ordinonces.
Slqnoturc of Permiftee
A Building Permit is issLied ro: Tollefaon Builders, In
all work sholl be done in accordance with oll appliooble Stofe of r
Bufldinq Official 'J
Assessment Permit 79Q - n(I
Water 8 Sew. Surcharge 1 A_()(1
Police Plan check 114 5.a
Fire 5AC 59 S Lk(1
Eny. Woter Conn4 Sg..g0?
Plonner Water Meter g.Q gg._
CAUntil Road Unit 250. 90
Bfdy. Off.
APC Totol a 1b47. 50
' on the axpteas condition tlat
xsoto St of Eagan Ordimnces.
Psrmit No. Permit Holder Misc. Permit No. Holder
Plumbinp 7J b? ?/? Z ? S 2 -0-?
H.V.A.C.
W?11
Water
DisP•
P•
Sower
elect.it ?glqo IiQls?E? ?ts. i?{(,i3
Irqpaction Date Insp. Other
Footinqs ?
Foundation
Frsming
Rouph PIbY? LsJC -/?.
Rough HVA
Inwlation
Final Plby. ?
Final HVAC
Final w?
Watar Describs Location:
VYsll .
Sewsr
Pr. Disp. ?
CITY QF EAGAN
, 3795 PWf Kwo? Roed Eeyaw, MN 56122
PHONEs 454-8100
BUILDING PERMIT Receipt
J 1?
To be wW br 1 r, f I, pT_wr Est. Volue SnH _ nnn Dote Ns--?aV• 1)]. , 14 A?
Site AcWress ?1q5? IiAAther TlrivP Erect )p Occuponcy
Lot 27 Blofk1_ Sec/gub, Brisr Hill 4th Alter ? ZoninyCPD) R-1
Porcel #
oc Nome To>>efeon BLildere. ?nc.
W
z ,??rem 1655. Norwood Dr1ve^,
-- -- ?,-,.,
? Name ()wner
?? /lddreu
?- ri•., o?.....?
Nnme _
/Wdress
Repoir ?
Enlarfls ?
Move []
Demolish ?
Grade ?
Fire Zone He
Type of Const. ItJ
# Stories
Length_44_
Depih.._26-Sa. Ft.
Assessment -
Water & $ew.
Pol ice
Fire
Enp.
Plonner
Counti I
I hereby acknowledge thot i have read this application and state thot Bldg. Off.
the informetion is correct ond ogree to comply with all applicCble
Stote af Minnesoto Statutes and Ciry of Eogan Ordinantes. APCp; -
Sipnoture of Pertnittee
A Butlding Permif fs issued to; 1011@
all work sholl be done in accordorxe with
Building Official 4
Permit
Surcherge 1 9 _ f1Cl
Plan check 1 l 4_ 50
SAC 52 5 _ Xl
Water Conn4 SO CIO._
Woter Mete? &Q 00_
Rood Unii 2ST?, Qg
TMoI
on the express condition tFxat
ond Gry of Enqan Ordirances.
Permit No. Permit Holder Misc. Permit No. Holdar
Plumbing 331oS a n s-z $3
H.V.A.C. (-7 Ff?k1Y l:l'` rZlO-Sy?
WII
wmr
Diap.
Sewer
EMctric Rp73/? htsif r EIE G-LY-13
Irnpection Dste Insp. Other
Footinp -a-
Foundation
F?emiog 7111
Rouph Pibp. •? d .
Rouph HVA
Inwlation 7
Final Plbp. -? ?
Final HVAC
Final - ?
Water Wscrfbe Location:
YVell ?
Sevwr
Pr. Disp.
BUILDtNG
CITY OF EAGAN
? 3795 PYof Knob Rood Ee9en, MN 53122
_ PHONE: 454-8100
Te be wed ior ' 1 o f 4 PLLX Est. value $ 38, 000
Sif! /,dd?855 I' r)5 lipather DriV@
Lot ? a Block_?.1Sec/Sub. Bt*ar Hill 4th
Porcel .# 1-:,- 14 :' 9 3 230 Ol
W Nome Tallefson nuildeTB, InC.
z Address I655 iioxwdod Drive
ci Ea an 55122 Phone 454-6873
Nome (?s.rn P r
r
u? Addrou
?- r;n,
I hereby acknowledge thof I have reod this opplication ond state that
the intormotion is corrett and agree to comply with oll opplicable
Stote of Minnesota Sfotutes and City of Eagan Ordirances.
j Sipnoturc of Permittee
? Tc
A Building Permit Is issued to:
t oll work sholl be done in ctcordonce
, Bulldinp Official
V
.NY? 7 8 Ui `7
Receipt # L? ,f
r t_.
i
pae March 24 , 19 83
Erect ? Occupancy R-3
Alter Q Zoninp (Pi;) Z-3
Repoir Q Fire Zone NA
Enlcrgs p Type of Const. V
Move ? # 5tories
Demolish p Length 41,
6rode ? Depth _26 Sq. Ft.
Approrola Fees
Assessment
Woter & $ew.
Poli<e
Fire
Eny.
Planner
Courxil
Bldfl. Off.
APC
Permif ZZ?/.Ul)
Surchorge 19 _ 0?
Plan check 114 _ 1-30
Water Meter 60 Qn_
Rood Unit ' Qr
T,tal $1647.50
?.,.. .
on the express tondltion thar
Minnesota Statutet ond City of Eagan Ordinances.
Permit No. Permit HoltNr Misc. Permit No. Holder
Plumbing
H.V.A.C.
Woll
Wster
Disp.
Sowar
elect?ic ?o7Ylto /t?q,s??r?ltc• ?-2?I-?3
Inspection Data InsP. Other
Footings
Foundaiion
Frsminp
RouYh PIb9. - /D • ?
RouQh HVAC
Inwlation
_
Final Plhp.
-2Y;5(3
W'?
.
Final HVAC
Final 7 ?
wat?r Desui6e Location: `
1fVell
Sewer ?
Pr. Dfap.
I
Receipt PLUMBING PERMIT Permit No. -??(fi
CITY OF EAGAN -
-- - r . "rFB@ -" 2rz ?GI
J " Fill rn numbered spaces " f•`"?S/C s2 _
:c ,•? r ??_
Type or Print legi6/y , Tot (./
---?-?
1. Date - 2. Installation Cost
3. Job Address Lot_tg:_Blk. _J_Tract 1-4:l J y
(( t ,'' '
4. Owner 6'nZ "-- G 0,*' -
5. Contractor ?,. i t1 Phone
6. Address
7. City -,jC la State /V Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: Ne Add O Alter ? Repair D
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
L Bath tubs Septic Tank
_ Lavatory Softner
Shower Well
? Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and co?ygoverning this type of work.
Signed : 'for . . , ? i
,. 1
?' "?
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt f=-= , PLUMBING PERMiT Permit No. :??? ?
CITY OF EAGAN
Fee 7:?t? 75'?-
Fill in numbered spaces S/C / r-' c
Type or Prini /egi,6ly Tot. --C
1. Date "c,-'j 2. Installation Cost
3. Job Address ' Y Y? LotBik. ? Tract f i ll ,
i _ _ •
4. OWn@f i? i ? i ' 1 l i? .?
5. Contractor ,s.' Phone
?
6. Address
7. CitY G-tl/i :-r State Zip - v
8. Building Type: Residential Cl Commercial ? Institutional 0
9. Work Description: New&1---' Add ? Alter O Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesg
ool/D
infield
Bath tubs p
ra
Se
tic Tank
Lavatory p
Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other ? •
Laundry Tray
, Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby r;ertify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Flnal Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?Receipt - ? PLUMBING PERMIT Permit Na ?- ?
CITY OF EAGAN
i - Fee .
Fi!l in numbered spaces S/C
Type or Print legiWy ToL
1. Date " -- = 2. Installation Cost
3. Job Address ? Lot -i?• Blk. ? Tract
-T----
r
4. Owner
5. Contractor ' I Phone (l L e/ c.?
,
6. Address 7. City ? r A State ?• ?? Zip
8. Building Type: Residential [3 Commercial ? Institutional O
9. Work Description: New d Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Orainfield
Bath tubs Se
tic Tank
Lavatory p
$pft
er
'-' - Shouver n
Wel I
Kitchen 5ink
Urinal/Bidet pther
Laundry Tray
Floor Drains
Drinking Ftn.
Stop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY QF EAGAN 454-8100
Receipt Z'2 L ?
'0-1
1. Date 2. Installation Cost
3. -fnh Arldroec ;_..C.,'i ?. ?.Ot??g??C. ?
I a t-
5. Contractor PAM q,
SURGE 'W n
6. Address ??CelSlgr dve_ E.
7. citv }lopkins, , m j Oeo^a 55343 Zip
8. Building Type: Residential A
9. Work Description: New 9
I 10. Describe
I 11.
Commercial O Institutionai ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet Na Fixtures
Cesspool/Drainfield
Bath tubs SeRtic Tank
Lavatory 1 Softner
Shower -t-.
Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governipg this type of work.
Signed . ? / l' for
y / Rough ,-? Ffnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legib/y
Tot. r_ _ ?L?
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN - . --- • < <- - " ..
- - Fee
J ? Fi!l in numbered spaces ,. mC `' • • ? L'
Type or Print legib/y -
Tof.
1. Datef-- 2. Installation Cost
2 71 /CI?
3. JobAddress Lot?Blk. 1 Tract
?
4. Owner : i r f ?-'e l-z J /T
5. Contractor?'-C AY:e7/?/),t/ Phoneey.L?? C'e L?
6. Address - ? C" ?. ? ; J ? ? -f-•- /??' ?-7 , (
7. City L l? d - v State Zip
8. 8uilding Type: Residential L?3'J Commercial O Institutional D
9. Work Description: New 8' Add ? Alter ? Repair ?
10. Describe
11.
No.
- Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
-- Shower Well
? Kitchen Sink
Urinal/Bidet Other
Laundry Tray
? Floor Drains -. ,
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Fiough Final
InspeCtions: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
PLUMBING
CITY OF t
-7
Fill in numbered
Type or Print leg
1. Date 2. Installation C,
Permit No. L?-
Fee
S/C _
Tot.
1-. j?6 f :' r-
3. Job Address ?ot .•t 1`? Blk. ' Tract Ir'+
_ (?-
4. Owner
5. Contr
6. Address _ 702 E;.nl3{flr Hvp. E.
l?opklns, Minnesv4a 55343
7. City Zip
8. Building Type: Residential ? Commercial ? Institutional O
9. Work Description: New RI
Add ? Alter O Repair ?
10. Describe
11,
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Se
tic Ta
k
Lavatory ? p
n
Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
?
2. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : for ' ?
r
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
G-?
MECHANICAL PERMIT Permit No.
CITY OF EAGAN
? Fes- -'t
Fil/ in numbered spaces S/C '-
Type or Print /egib/y -
ToL
1. Date ?- ' 2. Instaliation Cost
3. Job Address ? Lot Blk. Ir Tract
--'---?-
t -_?
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential O Commercial ? Institutionat ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
TYpe
No, F.qlinment BTU - M. Ea.
Forced Air No. EQUiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify thet the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough F Inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reoei
pt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee `
? Fill in numbered spaces S/C T_
Type or Print /egr6/y Tot.
1. Date 2. Installation Cost
3. Job Address Lot -;2? BI k. ! Tract
?'?'•T
4. Owner
5.
6. Address
7. City
Phone State I
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New El Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Equinment STU - M. Ea.
Forced Air - No. EQUiament CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Othe
Air Cond. r
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes gpverning this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
1
Receipt MECHANICAL PERMIT Parmit No. --'??CITY OF EAGAN . : ?
Fee `
a
' fill in numbered spaces S/C
Type or Print /egibly Tot.
1. Date •' 2. Instalkation Cast
3. Job Address Lot Blk. ? Tract
/ y
?1
4. Owner 5. Contractor • ' ' ' Phone -
6. Address '
7. City '- ^ State ? Zip -- i
J
8. Building Type: Residential ? Commercial ? lnstitutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No. Eauioment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
compty with all ordinances and codes governing this tYpe of work.
Signed : ' for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt,;:? ?. ' MECHANICAL PERMIT Permit No. `` •?
CITY OF EAGAN ?
- ?- Fee -
FA/ in numbered spaces S/C
Type or Prini lcgibly Tot
1. Date --? ? 2. Installation Cost
3. Job Address Lot Blk. ? Tract
4. Owner
5. Contractor L Phone - ?
6. Address
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional O
9. Work Description: New ? Add O Alter O Repair ?
10. Describe Fuel Type
11.
No, Equiament 8TU - M. Ea.
Forced Air - No. Equiament CFM
Ai
H
li
Mfg. r
and
ng:
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Y ?
CITY OF EQGAN Remarks
Addition BRIAR HILL 4TH ADDN Lot 25 Rlk 1 Parcel 10-14993-250-01
owner street 3849 HEATHER DRIVE scate EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. Z 1971 Paid UIld T OTl. inal rcel
STREETRESTOR. 1975 70.69 7.07 10 7.15 A012721 9-8-83
M7PM Street 930 1984 1227.78 245.56 5 1227.78 C008612 10-11-83
**Sewer Lateral 1984 2136.20 427.24 5 2136.20 " "
SAN SEW TRUNK o 1968 29.60 .99 30 13.92 A 12721 -8-83
SEWER LATERAL TRK 9z5 1983 237.37 23.74 10 213.64
*SEWER LATERAL lAl 1971 32.42 1.62 20 11.36
** WATERMAIN 1984 5
*WATERLATERAL 1971 20
WATER AREA 1977 59,19 3.95 15
**Stubs 1984 5
STORM SEW TRK g 1984 323.50 64.70 S 323.50 C008612 10-11-83
*STORM SEW LAT 1971 20
**Storm Sew Lat 1984 5
CURB 8i GUTTER
SIDEWALK
STREET@-:iQM? 1009 1986 153.70 15.37 10
ROAD UNIT 250.00 34933 3-24-83
WATER CONN. 450.00
BUILOING PER. 7864
SAC ?? ??
PARK
CITY OF EAGAN Remarks
,,BRIAR HILL 4TH ADDN
Owner
Street
Lot 26 Bik 1 Parcel 10-14993-260-01
3851 HEATHER DRIVE 0._... EAGAN MIlV 55122
Improvement at Amount Annual Years Payment Receipt Date
STREET SURF. Z P].d und l. 1 el
STREET RESTOR. Z l 70.69 7. 01 10
RRARaQA'?C Street 1227.78 245.56 5 g2 23 A 13330 12-20-83
**Sewer Lateral gZ 2136.20 427.24 5 IV IT
SAN SEW TRUNK 16 1968 29.60 .99 30 12.94 rr to
SEWER LATERAL TRK 77- 1983 237.37 23.74 10 199.91 of
*SEWER LATERAL 101 1971 32.42 1.62 20
9.74
** WATERMAIN 1984 $
*WATERLATERAL 1971 ZO
WATER AREA -iV 1977 59.19 3.95 15
**Stubs 1984 5
STORM SEW TRK 1984 323.50 64.70 S
*STORM SEW LAT 1971 20
torm ew Lat 9 5
CURB 8i GUTTER
SIDEWALK
STREET-eiBFFF 100 • • 53. (, - fU9?j fQ-/ -
ROAD UNIT 250.00 34933 3-24-83
WATER CONN. 450.00
BUILDING PER. 7865
SAC 525-00
PARK
CITY OF EAGAN Remarks
Addition BRIAR HILL 4TH ADDN Lot 27 Rik 1 Parcel 10-14993-270-01
Owner street 3853 HEATHER DRIVE State EAGAN MV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSUFiF. /OZ 1971 11d
STREET RESTOR. 7-11 1975 70.69 7,07 10 7.15 A012770 9-16-83
IGNUM Street ?p 1984 1227.78 245.56 5 1227.78 C048602 10-11-83
**Sewer Lateral 1984 2136.20 427.24 5 2136.20 " "
SAN SEW TRUNK 1968 29.60 .99 30 13.92 A012770 9-16-83
SEWERLATERAL TRK 7-5 1983 237.37 23.74 10 213.64 " "
* SEWER LATERAL 1111 1871 32.42 1.62 2 11.36 " "
**WATERMAIN 1984 5
*WATER LATERAL 1971 20
WATER AREA I977 59.19 95 31.61 A012770 9-16-83
**Stubs 1984 5
STORMSEWTRK 1984 323.50 64.70 5 323.50 C008602 10-11-83
*STORM SEW LAT 1971 20
* torm Sew Lat 9
CURB & GUTTER
SIDEWALK
STREET-LlfeMT 1009 86 153.70 15.37 10
1
ROAD UNIT 250.00 34933 -24-8
WATER CONN, 450. 00
6UILDING PER. 7866
SAC n t?
PARK
CITY OF EAGAN Remarks
Addition BRIAR HILL 4TH ADDN Lot 28 Blk 1 Parcel 10-14993-280-01
Owner Street 3855 HEATHER DRIVE State EAGAN NIN 55122
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. Jp2
STREET RESTOR. Z 12Jr62 $-4-83
3?'RIi?X?C Street 1984 1227.78 245.56 5 1227.78 C008603 10-11-83
** a r 1 1984 2136.20 427.24 S 2136.20 " "
SAN SEW TRUNK 0 1968 29.60 9 13.92 A012 8- -$3
SEWERLATERAL TRK ZS 1983 237.37 23.74 10 213.64 of of
*SEWER LA RAL 101 1971 32.42 1.62 2 11.36 " "
** WATERMAIN 1984 5
*WATERLATERAL 1971 20
WATER AREA 3
"Stubs 1984 5
STORM SEW TRK % 1984 323.50 64.70 5 323.50 C008603 10-11-83
*STORM 5EW LAT 1971 ZO
**Storm S Lat 1984 5
CURB & GUTTER
SIDEWALK
STREF.T-4rF@ttf 1009 1986 153.70 15.37 10
ROAD UNIT 250.00 34933 -2k-8
WATER CONN.
450.00
"
"
BUILDING PER. 7867
SAC
PARK
CITY OF EAGAN
3795 Pilot Knob Roed Eagan, MN 1115712
PHONEs 434-8100
N° 7864
BUILDING PERMLT Receipt #
Te ba med Iar 1 of 4 PLEX Est.Vulue $38, 000 Date March 24 _, 1y 83
Siro Address 3849 Heather Drive Erect
?
Occupan[y R-3
Lor 25 Block 1 Sec/Sub. Briar Hill 4th qlrer ? Zoning (PD) R-3
percel # 10 14993 250 Ol Repair p Fire Zone NA
V
Enlarge ? Type of Const.
0' Name Tollefson Builders, Inc. Move ? # Srorie:
Z
? Addreu 1655 Norwood Drive pe,,,oNah ? Length 44
c. Eagan 55122 Phom 454-6873 Grade ? Depth 26 Sq. Ft.-
? Nome wner Avorevals Faea
z
?
°u?
I-
Addren
Nome _
Addrea
I hereby ocknowledge thot 1 hove reod ihis opplicafion ond stofe that
the inlormotion is correcf ond agree to wmply with oll opplicoble
Slote ot Minnewto Stotutes ond Ci1y of Eagan Ordirwnces.
Sipnoture of Pertnittee
------ r071 Tes
A Bullding Pertnif Is issued to:
all work sholl be done in occordonce wieh oll
Assessmenf Permit 229.00
Water & Sew. Surchorge 19.00
Police Plan check114.50
Fire SAC 525.00
e„9. worer cond. sn _ nn
Planner Water Meter 60 _ nn
Councll Rood Unit 25n pfL
Bldg. Off.
APC Totol $1647.50
? on the expreu conditlon thni
ie_sota_$aiutes and City of Eapon Ordinances.
Building Offlciol
cirr oF EacaN ?T 7865
3793 Vilet Rnob Road Fagen, MN 55121 1, ? PHOlIE: 434-8700
BUILDING PERMIT Receipt #
Te M wed for- 1 of 4 PLEX Est. Volue $38,000 pate March 24 _ 11983
Site Address 3851 Heather Drive E
r O R-3
rec [m ccuponcy
Lot_?SL Block1_ Sec/Sub.Briai Hi11 4th Alter ? Zoning (PD) R-3
Parcel # 10 14993 260 Ol Repair ? Fire Zone NA
V
Enloroe ? Type of Const.
m Name TolEefson Builders, Inc. Move ? # Stories
z Add.esa 1655 Norwood Drive Demolish
?
Length 44
ci Eag an 55122 Phom 454-6873 Grade ? Depth 26 Sq. Ft.-
p Name OWnex Avvrovals Fee.
?
i
ou Addreu
Name _
Addreas
Azsessment _
Water 8 $ew.
Police
Fire
Eng.
Plonner _
Council _
i here6y ocknowledge tFwt I hova read ihis opplicotion ond stote that Bldg. Off.
the intormation is,correct and agree to comply with oll applicnbla A? -
State of Minnesoto Stotutes and Cify of Eagnn Ordinonces.
Siqnoture of Pertnittee
A 8uilding Permit Is issued to:
oll vrork sholl be done in xcordonce wlth oll
Buildinp Offftiol
Permit «7•vv
Surchorge 19.00 Plan check114.50
S,qC 525.00
Water ConrEF 50 " 00
Woter Mehr 60 . 00
Road Unit 950.00
Totol $1647.50
on the expreas tondition Ihnt
y of Eagan Ordirwnces.
CITY OF EAGAN Np 7866
3793 Pilof Knob Road Eagan, MN b51'12 •
VHONEs 054-8100
BUILDING PERMIT RecelDt # ------??F'?--
To 6a umd far 1 of 4 PLEX Est. Vulue $38,000 Date March 24 1981
Site Address 3853 Heather Drive Efect
$$
Occuponcy
R-
3
Lot 27 BI«k 1 Sec/Sub. Briar Hill 4th Alrer ? Zoning (PD) R-3
Porcel # 10 14993 270 Ol Repoir ? Fire Zona NA
Enlarge ? Type of Const. V
m Na? Tollefson Builders, Inc. Move O # Srories
z Address 1655 Norwood Drive
Demalish
?
Length 44
C. Eagan 55122 Phom 454-6873 Grode ? Depth 26 Sq. Ft.-
. a Nom Owner Aoorovala Foea
Address Assessment Permit ZZ •00
V? CI ph Woter 8 Sew. Surcharge 19.00
one Police Plan check 114.50
Gw Name fire SAC 525.00
?Z
Address Eng. Water Conn4 0• 00
i W Ci Phone Planner Woter Meter 6 20 .4.0-
Council Road Unit 250 - 0!1
I hereby ockrwwledqe thot I have reod this opplicotion ond sfate that Bldp. Off.
the information is torrect and agree to compiy with oll opplicoble APC Total $1647.50
State of Minnesoto $fatutes and City of Eagan Ordirwnces. -
SiBnolure of Pertnittee
Tollef son Inc
uilder
.
,
A Building Permit Is issued to:
' on the expmss condition thnl
oll work sholl be done in occordonee with
oIN'"d I bte tr? of to..Sftutes and Ciry of Eagon Ordinances.
p
?C% '
?
?
. f-f
Buildinp Officiol
CITY OP EAGAN No 7g67
' 9795 Pllof Kneb Rood Eeyan, MN 55I22 •
iHONE: 434-8100
BUILDING PERMiT Receipt #
T. ye md }ej 1 of 4 PLEX Est, vulue $38, 000 oore March 24 1983
Sue Address 3855 Heather Drive Erect gg pccupancy R-3
Lor Z$ el«k 1 Sec/Sub. B=itar Hill 4th Alter ? Zoninp (PD) R-3
Parcel # 10 14993 280 Ol Repair ? Fire Zone NA
W IN.m. Tollefson BYilders, Inc.
Addrem 1655 2lorwood Drive
? ,.:_EaQan 55122 454-6873
0
Z
V?u
f
Nume Owner
Address
Qtv -
Name _
Address
I hereby ackrwwledge thot I have read ihis opvlicotion and stote that Bldg. Off
fhe informotion is correcf and agree fo wmply with oll applicoble -
State of Minnesota Stotutes and Ciry of Eogan Ordirwnces. APC
$ignofure of Permittea
Enlorga ? Type of Const. V
Move ? .jk Stories
Demolish ? Length 44
Grode ? Depth 26 Sq. Ft._
ADD/ovals Feef
Assessmene _
Water & Sew.
Poli[e _
Fire
Erp.
Planner _
Council
Permit LG7.VV
Surcharga 19.00
Plon check 114. 50
snC 525.00
Water Conn45_O_0O__
WaterMeter hn.()()
Road Unit 750 nn
Toral $1647.50
A Building Permit Is issued to: y y 1J??? Luy l?l?' L???• fhe express conditlon Ihnt
oll work sholl be done in accordance lica e S?-t Minnesota Statutes ond City on of Eagan Ordinances.
Buildinfl Offlciol ? 4i7? Ji' I
?lrr#tfirtttr nf (Orrupttnry
Citp of (Cagan
?rpttrtmrni cr# ?uil?ing .?nsprrtimt
Tbit Cntrficate iJraed pnrtuant to tbe nquirrmentt of Sertion 306 o/ t!x Uniform Building
Codc cati f yixg that at the time of irtunnu t5it nructun wat in rom pliance witb tix variow
wdinanrts of tix City srguloring building ronn+uaion or un. For t!x following:
th, C„ffk,oe, 1 of 4 PLEX I' eiai. e..,Nt N,. 7864
O-w-r'na R3 iywc?uon V F;..a NA ZMfta,,,;n PD R3
a,,,aore„om,c Tollefson Blders. „ad.1655 Norwood Dr. Ea an
weafteaa?3849 Heather Driv v,m,i;?t.or 9 Rln?k 1,Rriar Hill
1L1G.1 L ?p 1l ?7t? L, °''
.,o;,,`ol? ?? ar August 26, 1983
.a. ?. , w....K?w. ..?,?.
Trr#iftrttfr u# (Orrupttnry
Citp of Cagan
Drpttrfineni of 'Nuilbing Asprrtion
Thir Cntifirate irrutd pu>tuant to the nquiremanu of Settion 306 0( the UniJorm Building
Code artifying that at tix tirru of irmantt thit ttrutture wa in tomplianrt with tlx varionJ
ordinanas oJ the City ragulating bui(ding ronnrurtion or urr. Fo, t& follounng:
1 of 4 PLEX ? 7867
U. cu?fi.um emiea?, No.
?PD) R3
0=wmTYw R3 '?Yacm.wCn? V FiRZm NA umroa.?t
o.?orem? Tollefson Builders ?aa,n,1655 Norwood ?r. , EaQan
ARSS Uo?rt,o,- n,-t.,o._.,._Lot 28.Block 1.Briar Hill
my:
Julv 29, 1983
.a., ,. . ??„?. ...«
(gprtifirtt#t nf Orrixpttnry
,
Citp of (Eagan
Erpmriment of +.?uilhing lnsprdinn
7bit CMi fitatc itrutd purtnant to tbc rrquirtmrntt of Strtion 306 of tix Uniform Building
Code nrti fyrng that at tfx timr o/ irtuance tbil rtruaura was in rompliaxrc with the variour
ordinunca of the City regulating buikling ronn+uaion or ure. For the follmuing:
1 of 4 PLEX 7866
Bid` Pemdt No.
u-war nw R3 rrwcm.w<nw V wRzoM NA z?wwnn(PD) R3
o?„dw„o,, Tollefson Bldrs. Am.1655 Norwood Dr., EaQan
3853 Heather Drive yLot 27,Block 1,Briar Hill
I\ _. E „ ?-l = -A-x-_ _ _ e_ 4 th
August 26, 1983
BwlNnyOifidtl t?.?j pro: '..
w0?-
"•
• ; Xpprtifirttte uf Mrru,pttnry
?itp of Cagan
Ecvttrtmrni nf liuilhittg lnspprfiun
Tbir Certi fifUt( JISYNI PftTlt/GfU l0 l{X 7CqT1J7tdip7lS Of Sertiort 306 o f!hc Uni form Building
Codr tMi fying that ae tbc time of iuuaraa tbit rtruuurr wat in'romPlianrt udtb tht variora
ordinanns o f the City regulating buildirtg?ronitrudtion or urt.` For tht f ollosving:
' SF DWG/GAR " r t` v•.i;, `? f ;, s.r. ' 7865 '
Ua CLm/kaam Btdg Peemit No.
O-P? n,w R3 Tyrcm.w? V FiRz.. NA z«ms?« R3
o„?~&, Tollefson B1drs.InqA,. 1655 Norwood Dr..Eagan
by:
November 28. 1983
.ei
REQUEST FOR ELECTRICAL INSPECTION
' See instruclions tor completing this lorm on beck of yellow copy.
X' "Be/oiND C'oEM by This Request
EB-00001-04
L'
aw fAddl Feo. Tyva ot Building Appliancns Wirnd Enuiument Wi?G
Home Range Temporary Service
Duplex Water Heater Liyhtinp Fixiures
Apt. Buiidin9 Dryer Electric Heatin
Commercial Bidg. Fumace Sito Unloader
Industrial Bldg. Air Conditioner Butk Milk Tenk
Ferm Other oeci v ther ISner,ifyl
or 54ecify OI er Olher
Compute lnspection fee Below
p fee ServiceEntrenceSize p Fee Faxtlers/Subteetlers 4 F?.
U to 200 Am s 0 to 30 Am s
Above 200 q?npy 3to 100 Amps t
Swimmin Pool Abve 700_Am s
Transiormers Irri ation Booms Pdrtial;'Other Fee
Signs SNecial Inspectlon g
5
Bertwrks d TOTA E
? '
, RouBh-in ,.r'i / tte
tha Ele ical
' / ( ' j f? _?r ?? • ? spectoq hereby
car?ify lhat the above
Final ?td F (' Dxle ypec[ion has been
I ade.
TnLa reaunsl voitl 1e moMns Irom
.n,s request void (o Zq L-?2/I ??IZ I?2$ 1 12 1 ? ?616040150
18 rtpnths from f7T;Q? `, `? \ u4? t?O' OO
W073190 o ci
Renuest Date
? ?? ?? Fire No. Rouph-in Inspection
fl qui 7 ?
?es No
1 3Pe`
Ready No WlII Notify,
?
?or When Ready
icensed Elec[rical ConVactor I heraby repuest insoection ot ebov8.
? Owner electrical work instelled eC ?
Sheet Address, Box or Route No. L / City
emron o. Township Name or No. Ranpe No. County
Occypan[ IPjiINT?. /?
7 ?'eTS Phmie No. '
Pow r Slu"pplier
l50 ? Ad?tl es`s
+ 1 '
?St t fk/+.s4 1 rt 7 a?
Eleclricel Contractor ICOmpany Na e)
RS}CV EICC?'rC C niractor?s License No.
O`?/J7?{?--3
Mailine .4ddress (COntrac[or or Owne/r M;ak?i
np? Instailation)
?
S? 3 7
? ?
?
7
S
* 1
d n.2 w
7
-
0
a?'V a
l.tP
AuthorizeC SiOnamr (Co M1acior/Owner Making Installation)
d
- Phone Number
5'
9D -3 55
?' c 4:f ,
MIN ESOTA STATE BOAXD ?LECTRICITY ? THIS INSPECTION REQUEST WILI NOT
OF E
Griges-Midwey Bldg. - Noom N•191 BE ACCEPTEO BY THE STATE BOAHO
7821 Unive,sity Ave., St. Paul. MN 66104 UNLE55 PPOPER INSPECTION FEE IS
oc-. -. ENCLOSED.
??Ao'
2007 RESIDENTIAL MECHANICAL rERMiT ArrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos whcn permits are required for each unit
C?
Date 6- / / / C, ?
Site Address Unit #
Property Owner Telephone ik ( 4S
Contractor BURNSVILLE, HEATING & AIC, INC.
Street Address SU118 120
' City
um
,
State Zip
Telephone # Eej ?6W
Bond#: y-j gSy? (,= l2 .? / ? Expires: -7 U
The Applicant is _ Owner ? Contractor _ Other
Fire repair (replace burned out appliartces, ductwark, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dweliing unit $ 50.00
? furnace _Additional __*placement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
T?? I`lw T
Total MAY 14 2008
I hereby apply for a Residential Mechanical Pennit and acknowledge fh
Baythe infonnation is complete and accurate; that the work will
he in confonnance with Ihe ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand [his is not a
permit, but only an application for a permit, and work is not to start without a 't; ?tkiat the wor will 6e in accordance with the
approved plan in the case of wo?rk which requires a review and approval of plans.
ApplicanY's Printed Name Applicant's Signature
Tollefsnn Builders Inc.
Or.11385
t83-73A
JACKSON - SURVEYDRS Iq N
Ri61ST[R6D IIND[N LAWG OF STAT[ DF MINN[EOTA'
/
. ' 3696 EAST 55th STREET, MINNEAPOLIS, MN 55417 727-3484 .T?= pRqi ??;.? ,? \' N°2rNEKTt NATJK4L ?UC$[?OT?SQ?CL?ItlC9?[ . - , , \
Gns co. i
`? - 134•46 117.14 - ?f
a, 25 ? ?
,Z6 't/
kl ' DR? Ewa,'(
\o
N N
Ir _T?L3 ?i V412?? ?o _44. ?? ?? 44 ie• 59:ya --' `7 r?%`??
OJ?
84•97 _
C
1 ` 21 ? a •m ?
0
l)
. ?? NATURA? f. , 7 C9 0 . ???I?. .. . .
GAS EASmMEr.tT Ct- '
?
' Q
I N[N6YY G[RTIfY T1IAT TN[ ABOVC IB R TRUE ANO CORRRCTPLAT'OF A$IIRYt'Y OF Lota 25,26,27 end 28,91:)ck 1,11riar Hi}1 4C4..Addltion, .? '
DakatA CSunty,HinnesoCY.
,
.
.. ' Propoaed Garage floor:Elev. 101:5 ,` .
Propaegd Daaetnent, Ftoor Etev. 101.87
" P'roposed First°Fl,par Elev. 109.71
ws sunv,ereo er ME rMis-lOth. DAY OF Maren A.o, .}fj83
. . . .. .. F. C: 1ACKSON. MiHrc[? R.. i9t1uT1oN. No.. 98b0, .
. . . .. . . . . .
(5? 3(0
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
? ?1LuL-ta;
/5-Sv
Date -7 I 23 pHILLIPS, MARY
Site Street Address 3849 HEATHER DRIVE Uf11! #
EAGAN, MN 55122
? (651)456-0309
I
Property Owner lephane # ( )
.
Contractor (612) 827-4033 Telephone # ( )
Address 2905 GP1RFiELD gvrz. S"t3. city state ziP
?
The Applicant is: _ Owner Y-\ Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other.
Water Softener ? Water Heater $ 15.00
X replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild ?
$ 30.00 ?
I ? ?
4
,
l
, ?
State Surch r,
a
i
n n A $ SD
?
Total $ ( S. SQ
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
??OrblwVt
ApplicanYs Printed Name A i s Signa re
crTsr cF EWnN inciuae z sers af Plans,
1 site plan w/elevatiam i
BUIIDING PE T APPLICATXON 1 set of eriergy calculatims.
??a ee cBa ?r .va?luaria, ° 38, n2n aaW
Elx- ?[SSr /?0 ?.711 r tt o?zcE osr orIr.Y
. lodc l sec./sun. v?zdlc.?.c Erect ? occupa„cy f 3
i Farci1?= _ I0 0 1 rlter zon;.ng - O
Aepair Fire Zope
' Ownexs ESnlarge _ 7ype of Corut. j4d
Move A Stories
Darolish Front
? CYtY/ZiP Ooclee , Grade ? DePtl? r;Z6-Et.
' Phone i:
; 1,aiarma:
; CitiY/ZiP Oodts:
j YhanB #:
i
llyd't./F2q. s
I Addit+ese: +
I City/Zip Ucn3e:
I
PhOr16 #:
- warer/Sewer Surchacge
- F'olice -
P1aY1 CheCk
Fire SAC
Erig. Water Cav?,
- Planner Water hSeter
c7ouuicil Poa3 Unit
- Hlcig, Off. , -
AIIC
K ??
??
7MAI, -4 (((1 -7, `a
?
7
P
.:
I
?
?
?
?
i
;
40D-.73
d
1b $e Uaed Fbr
'I.ot- ' lodc ,/ sec./suh.
peYnel t: 1 D 1 y49 -a ;vr
' QiRI@ri
? Ci.t]'/Z1P Docle:
' Phone 1-
,
CITY (Y' L•'AGADI Iralude 2 sets of plane,
1 site plan w/elevations z
HCIIIDING PEAMIT APPLICATIqV 1 set Of eretgy CalaA3tiCT18.
_ Valuat3on ?+ffiCt'1 Date 1-3
aFFicE osr ONLY
Erect yC owqwicy R3
o Alter zoning
PePair Fire Zone ¢
Enlarge _ 'lype of Const.
Abve A Stories
Derolish Front ft.
Grade - DePtr? a ft.
Jlddresa: ZUr-¢-d? Water/Sewer Surdk-?rge -?
Po1ice Plan Check ___1'=L
CitY/Z1P Wdes /Zl .5?57a O?-Fire SAC q- ?
"'' ?j. Wates Corfn.
Pha?e 1: -"? ?S ?.? Planner Water Meter GO
Ar,?./Eng.= Council ]iaad Unit ? 87.c9g. Off. ?
: • AI'C
cityr/zip ooae: _
rt,ane t :
'?&o- ?2.3
CITY (Y' PACJIN Include 2 sets of plans,
L site plan w/elevation,s i
BUILDING PEPMIT APPLICATIdN 1 set of ettecyy calqlldtiang,
Rb Se Ueed Fbr ..' `T/' Valuation ?? (SiSD Date
CFFICE USF. ONLY
tgc olcdc sea./sub. Aa-O--?
Erect x OomTancy
Parml 1= 10-.3. o 1 ,?? Zoning -
Pva;r Fire 7,one
Owrer= ' F]i].aYye _ Type of Oonst.
addreas: : Move # Stories
Deirolish Fnont y ft.
C1t3f/ZiP C1ode: ^ Gzade - DePth
Phaw f :
• Omtractors` ?z
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; J1ddrene:
, City/Z1P Qcde:
I Ifione i:
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I Atidrese: •
? City/Zip Caje:
Pr?one ?:
- I
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^ Water/Sewer Surdwrge
- Fblice -
Plan (?ieck
a ?- Fire snc '
Enq. Water C.rnn,
- Planner Water MeteC
Oouncil Aoa3 Unit
- Hldj. Off. , -
AIIC
rnam??`j
,•.
,-
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1'eo-:0
CITY (Y' FAGAN Include 2 sets of plane,
1 site plan w/elevations t
? op. HUII!)INC; PEFMT ApPLICATION 1 set of enexgy caLculatirng.
1b Be I]eed Fbr valuation _,35 D-of> Date 51/1-3
, 2?7 i 1 3?SS ?a. ?1 V?,??. c?icE osF oNC.Y-
c ' lodc / sec./sub. Fxect x occupancy
8ame1 ZS'o 0 1 Aiter zoniriq ?
Arpair Fire ?,one
?'i Eri.laYge _ 7ype of Const.
Jlddreas: Move tf Stories _
Deirolish Front ft.
at5l/ZLP O[xie: Gradt. ?- pepU? o fC.
Ptrne i:
Addrwa: /,/O -c
CitY/2tP Oode:
Photla i :
llCC#t./FY'r). : .
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- water/Sewer sur.dwYye
- Po1ice -
P].an Cle'.k
'P 3-1Fire SAC '
Eng. Water Ccrnt
- Plaruier water rser.er
Council Aoaci Uni.t
- Hldy. Off.'
C1tY/Zip C:ode:
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CITY USE ONLY
L ? BL ? ? RECEIPT #:
SUBD. aC.?.Ctlt? /V?X/ ? DATE: S?O
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please camplete for: ? single family dwellings
? townhomes and condos whpn pennits are required #or each unit
FIXTURES ?H ND, rOTAL
Shower 3.00 x =
Water Closet 3.0 v x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 ;c =
Laundry Tray 3.00 ;c =
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet • mtnimum -1 3.00 x =
Rough Openings 1.50 :< _
Water Softener 5.00 .c
Private Disposat Dakota Cty. lieense 65.00 -
(new and refurbished systems)
U.G. Sprinkler • home under const. 3.00 =
Alterations ' to e)(iseng 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL 5.50
SITE ADDRESS: PHiuiPS MRY
3849 HERTNER DRIVE
EAGAN ) 55122
OWNER NAME: H 456-0309 'N 683-6879
INSTALLER
STREET AD
cirY:
PHONE #: (
STATE: ZIP:
OFFICE U5E ONLY
L _ BL _ RECEIPT #:
SUBD.
DATE'
1996 PLUMBING PERMIT (CQMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please Compiete for. ? all commerciaUndustrial buildings.
? muiti-family buildings when separate permits are pgs required for each dweiling
unft.
DATE:
WORK TYPE: NEW CfSIVSTRUC`fION
DESCRIPTION OF WORK:
CONTRACT PRICE:
ADO UN _ REPAIR
IS WATER METER REQUIRED? _ YES _ NO. iF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:> TO BE INSTALLED7 _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT.
FEE: $25.00 minimum fee or 7°k of wntract price, whichever is greater. State surcharge of $.50 per
$1,000 of pprm}S fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
CITC ADDq`SS,
TENANT NAME:
OWNER NAME:
INSTALLER:
STE. #
ADDRESS: "?.la
CITY: 4? STASE; ZIP:
PHONE #: S?GNATURE:
OFFICE USE ONLY
APPUCANT
METER SIZE: DATE: INSPECTOR:
ctrv or Enr.•,M
Casii:r.E:HZ:. Js rEt,M7:NAi_ Noa 748
DFl'i?:e 06/04/99 _f:LM&_: 13:32:24
TD:.:
NAMF° Mip,F i901-IS CC1N5TfilJt,TTON Cl'J
;321.0 MOi. 3840 1-IFA'ilih'R DR 0705
21L=i'.i 3001 3840 IiEA7F11i:Fi DR 4.50
3210 3001 3849 HL.:AT'tlrh CiF; 1.67.25
205 9001 3843 HEAl'FdFR I)!; 4.50
321(] 9001 3£357 I-IF'ATHER DR 1ti,7.i:'.S
21:`i..` 9(]01 3E157 IILiA'iHf'.ii DR 4.e0
3210 9001 381f3 LAt.ll;Fl_ SJ7 1E,"r'.25
205 .`-JJO:L 380 L.AUfiG"I_ CT 4.0U
M0 9001 3e64 E-irArH-:,r; T..iR iFil.LJ
205 9001 3864 ia.r-..r;rtir:F; DR 4.50
TU'Fa l KlC_h: E.lpM AILIQI.xr1t: 858.75
r.RW4tia4
usEr. :r.Du JFlN
? 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ?' 7S
GTY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Contiruction Reaviremenh . Remodel/Reoatr Reauirements
D 3 regislered sNe surveys ahowing sq. R. of bf, sq. H. ol house
and all roofed areas (2046 maxfmvm lot eoveraae allowed)
D 2 copies of plans (show beam R window sizes; poured fnd. dealgn; etc.)
D 1 set of energy calculaNOna D 3 eoplesoF hee preservaNOn plan tl lot plaNed aker 7/1/93
Dare: 'p` 3 - 4 9
DESCRIPTION OF WORK: _ 3?53
STREEf ADDRESS;
1
LOT: ?
2 copies M plan
1 set ol energy caleulotions lor heafed addiNons
1 affe aurvey for exferior addRions 8 decks
CONSTRUCTION COST:
5- /, 53,5-5 Pe4
BLOCK: _I SUBD./P.I.D. #:
9 ?z ?2
Name- Phone #:
PROPERTY Last First
OWNER
Street Address:
City State: Zip:
Company: 17, ?)GC ? Phone
(area code)
CONTRACTOR
Sheet Address: (3yl /U eL? ?kq) a? License #???b bcp. ?
city d4? S stare: ziP:
ARCHITECT/
ENGINEER Company: Name:
,
+ Telephone #: area code ( )
= Streel Address: Registratlon
City State: Zip:
Sewer & water Ilcensed plumber (requlred for new conshuctlon onlv):
Penalty applles when address change and lof change is requesfed once permH Is luued.
I hereby acknowledge thot 1 have read this applicaflon, sfaTe thaf the informatlon onecf, and agree to eomply wflh ail appOcabl
State of Minnesota Statutes and Cffy of Eagan Ordinances.
Signafure of Applicanf:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Misceilaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. i? 40 Gas Insert ? 44 'Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove '? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Buiiding
Engineering
Census Code
SAC Code
No. of Units
No. of Bidgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC ;
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
..
,
SAC Units
% SAC
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the BLUE or BLACK Ink
I , for OF" U"
i C-1
ties to I
PVTM
of latan I Z,5~ -1,77'
bill
ragan 100 Received
Phone: 6651) STS-Wra
FM (661) mom
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
13pte: 10-ILl- 1.3, 3bAddrm: ~8y4, 38s~, aF~s3; 38.rS- H6f77/014-tZ DR• 'Unit#;
Narne: ~~o A G 7" AV r4 A3 A 4 ~ /4 L AJ -r e- Phone: -7" -.sr9 3 0
Address! City I Dp~Sb ~j i4'---v e 19 gaE.S U101,
Applicant la: -owner K Contrawr
`7r'ER,2 O (QE - IMF
Construction Cost Mull-Fam4 Building: (yes -K I No
Company: E 1 ~a~ 7-L2ro~ Alt h,,~ eAap Contact- b^i/ A %a (?Jo S
Addr //oS 6D S~ , Gp, JylQG 5
State: )FYAI zip: Irryi Phone: !o'z - r'~ G Z y
LJoense *t 8 C A q1J 3 / Lead Coriiflcats rk
If the project is exempt from lead cmdficadw, phase explain why: (see Page 3 for addldonal Information)
RL~ws tJ::e~.' r Post 1 p7 Sr
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NIRN I&DING
In ehe t 12ma+Mq. has the qq o/ Eagan fastrsd a permit for a slmUar plan lased on a ntwar plan?
Yes No It Yes. date and address of meftr plan:
Licensed Plumber: Phone:
MschanloW ConpgcW: Phone_
Sewer S Waist contractor: Phone;
Now--- 11 pill
tfre:jfiia
W" you k"'d 1104iEiia~ a Can Goptwr Sbla oft am at (661) 45a0o02 for mvwwon against underground u ft damoga Call 48 hours y
locates of undwWamw LdItiee. %mft
+e n.ora
e hereby adub'*0 d1m On wftrQ6ap Is -
Eagan; ft I w* st&W this is and &=n* that to
VA)* will to in wribramw with to ardkrencas and codes of the Oty of
aaeauaMW wdh Ow not a rppner,.a pl,,, in m bd an. aAD iorl for a Aerml and wont is not to Seam wldmA a oennix ow the work vA bs to
Uqukcs a slew Ow appmw of plan,
&bd*r work ft*-wft*4 by ~ of Pmt lmuarrom a twilling permit Issued in accordance with tM IAtmeeott Stft ftUm Code must be complebd wWn 180
~jiv11J ~u RR rS
Applicant's Printed Warne
Appllcaneg Slgnotum
Pate 1 of s
5O/bO 39Vd iNIdW 1X3 I3H L9Z9T98ZT9 69:ST £TOZ/bZ/OT
Use BLUE or BLACK Ink
_ -
I For OM CO U30 ----I
1
My of ~ Pem,rt ~ I
Ealan I
I PemtiE Fee: I
3830 POot Knob Road j l
Eagan MN 66122 i pate Received:
Phone: (651) 6756676 1
Fax: (651) 67411-6694 S'taQh j
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date; 3 Site Address: 3$y9 3 Ys', 3 95I, 3 fss" &,*7-WeA Unit
Name: alb r✓ In.44 4 & is m x 4 j . ~ ~ r✓ Phone: 76 3 - SrJ 3 ' 9 7 7
Rt i~ertt/ S O QSc~s~-u2 Ate, A) 14 GoGD£u 1/*a'X Y /n.)
Owner Address/ City ~ Zip:, ~
Ss y~ 7
Applicant is: Owner ,Contractor
O71':~Af01'K Description ofwoek: Ps-ou c a, RE Pt .Kt~ S~ d /C, d > ,a-x a ly1 £ r •e L
Typo' .
Construction Cost / y 410D CFO Multi-Family Building: (Yes ~ / No
Company: Q E 1 ~`,r r 6e v 2 IY~*-i .~`r . do 10 Contact: DA tJ 14 I(~~ 22i S
Co>ttacvr address: /o w ~o S~ City: M Pz. S
State: /V-*~ Zip: Phone: log .L - 9 /v Co V/3
License fP: 4 C v p lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
qt-N&S- QIiLr Posy /5'-2,
COMPLETE THIS AREA ONLY I CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
_Yes -No If yes, date and address of master plan:
Licensed Plumber: Phone;
Mechanical Contractor: Phone;
Sewer S Water Contractor. Phone;
NOTE: a>nd iAI~Y •sti'br~1['~r 1Ni>t•~e• vamF"
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CALL BEFORE YOU [Me. Coo Gopher State One tail at (631) 434-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to (00010 locates of underground miss. www.goeherstateonecall.om
I hereby acknowledge that this information Is complete and accurate; that the work will be in Conformance with the ordinances and codes of the City of
Eagan: that I understand this is not a permit. but only an application for a permit, and work is not to start without a permit: that the wodt will be in
accordance with the approved plan In the case of work which requires a review and approval of plans.
Exterior work authorkad by a building permit issued In 11=0rd4noe with the Minnesota state, Suildi
daps of permit issuance n Code must be Completed within 180
.
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Applicant's Printed Name Applicant's Signature
Page 1 of 3
ZO/TO 39Cd 1NICW IX3 I3S L9Z9T98ZT9 60 :ST ETOZ/8T/TT
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136102
Date Issued:04/25/2016
Permit Category:ePermit
Site Address: 3849 Heather Dr
Lot:25 Block: 01 Addition: Briar Hill 4th
PID:10-14993-01-250
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mary J Phillips
3849 Heather Dr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature